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1053982082
BESTINJOHN KANJIRACAL JACOB
HENRICO, VA
NPI
1053982082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305214568)
Enumeration Date
2021-07-09
Last Update Date
2022-03-28
Business Address
BESTINJOHN KANJIRACAL JACOB
2620A GASKINS RD
HENRICO, VA 23238-1402
Phone number: 804-396-6753
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Mailing Address
BESTINJOHN KANJIRACAL JACOB
350 NEW FIDELITY CT
GARNER, NC 27529-2665
Phone number: 919-258-2714
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